Navigate your pharmacy benefits.
We are here to help you find the right prescription at the right price.
Unlock your pharmacy Benefit.
Shop for prescriptions, view your medication history, find a pharmacy or look up your Member ID. All in one place.MEMBER LOGIN
Check your drug coverage tier and requirements.Drug Lookup
Start or check on your prior authorization.PA Portal
GET PRESCRIPTIONS DELIVERED RIGHT TO YOUR DOOR. RIGHT ON TIME.
On a scale of 1-10, I give Danielle a 20. She's what customer service is all about.Lori, MedOne Member
STILL HAVE QUESTIONS? CHECK OUT OUR FAQS.
Why should I sign-up for MedOne's mail order pharmacy?
MedOne Pharmacy Services is the most convenient and inexpensive way to have your medications sent to a location of your choice for FREE. Mail-order works best for medications you take regularly and that don’t change often. Examples of medications suited for mail-order are those that treat high blood pressure, heart disease, cholesterol, asthma and diabetes.
How do I sign up for MedOne's mail order pharmacy?
Fill out a mail-order form and mail it to MedOne Pharmacy Services at PO Box 1537, Dubuque, IA 52004. You can also fax it to 563-588-0173. One of our pharmacy staff members will contact you before your initial medication shipment.
You can also ask your doctor to send your prescription to MedOne Pharmacy Services through his or her e-prescribing software or via fax to 563-588-0173. One of our Member Service Representatives will contact you within 24 hours to complete the sign-up process.
How do I pay for my co-payment?
Credit card (including HSA or FSA) is the preferred method. Payments by electronic funds transfer (EFT) is also available. You may also pay by personal check or money order. Co-payments must be paid in full before medications will be shipped. Please call 877-896-0919 for more information.
Can I transfer an existing prescription to start receiving it via mail?
Yes, one of our pharmacists will transfer the prescription from your current pharmacy. Please call 877-896-0919 with the name and phone number of the pharmacy you are currently using and the medication name. We will do the rest!
How long does it take to receive my prescription?
When we receive your completed mail-order form, you will be contacted within three business days to finalize enrollment. Please allow for 10-14 days to receive your initial shipment once enrollment is completed.
How will my prescription be sent to me?
In almost all cases, your prescriptions will be delivered via the US Postal Service. Prescriptions with special storage requirements will be shipped via overnight carrier and all deliveries will be scheduled with the recipient.
How do I refill my prescriptions?
During enrollment, your account can be set up for refills to be automatically sent in advance of your medication being used in full. If you do not want your medication automatically refilled and shipped, you may elect to use our refill request line at 877-896-0919 (press option 2). With this option, your medication will only be shipped upon request. Please allow 10-14 days to receive your medication.
What if I am traveling or at my seasonal home?
We can always ship your order to the address of your choice. Simply call 877-896-0919 and let us know where you would like your prescription shipped.
What is a pharmacy benefit management (PBM) company and what does it mean to me?
A PBM works with your employer or benefits provider to negotiate prescription prices with the pharmacies in your community to save you money. When you enroll in health insurance with your employer, you will receive a card with your personal prescription drug benefit information including Member ID (personal identifier), Group # (employer identifier), Bin # / PCN (PBM identifier). This information may be included on your health insurance card or a separate card specific to your pharmacy benefit. When you pick-up a prescription from your pharmacy, you will be asked to provide this card to determine what you must pay (aka your co-pay or co-insurance) prior to receiving your prescription.
Can I check to see what my co-pay or co-insurance will be for a specific prescription prior to going to the pharmacy?
Yes. Register or login to the Member Portal to check pricing or contact one of our Member Advocates at 888-884-6331.
My pharmacist or doctor said my prescription claim was rejected and requires prior authorization. What do I do now?
Ask your pharmacist or doctor if a prior authorization has been started and if he/she will contact you once a determination has been made. The prior authorization process may take 1 to 3 business days once all necessary information is received by MedOne’s clinical department depending on the type of the request. Your prescription drug plan has requested this service to ensure the requested treatment is safe, effective, and appropriate. In some cases, the prescription drug plan may restrict the use of certain medications or require the use of therapeutic alternatives. For more information about your prior authorization, please contact one of our Member Advocates at 888-884-6331.
What can I do if I can't afford any medications?
Work with your doctor and pharmacist to make sure you are using the most cost-effective treatment for your condition. Make sure you are using a preferred pharmacy and mail-order, if possible. If you are prescribed a high-cost specialty medication, one of our Member Advocates can work with you to search for financial assistance. Contact them at 888-884-6331.
Why do I need a prior authorization for medications I have been taking?
The prescription drug plan may require a prior authorization on certain medications to 1) prevent use of medications that may jeopardize safety, 2) support the use of cost-effective treatments, and 3) avoid use of medications that may not be medically appropriate or necessary. A periodic prior authorization may be required to assess the continued need for treatment given progression of disease states, advent of new evolving therapies and updated clinical guidelines to treat such conditions. Prior authorization renewals are started 30 days prior to the end date of the current authorization. For more information about the prior authorization process, please contact one of our Member Advocates at 888-884-6331.
DOCUMENTS & FORMS FOR MEDONE MEMBERS.
Direct Member Reimbursement Form
Direct Member Reimbursement Form - COVID-19 Tests
GA NADAC Report 2022 January - April
GA NADAC Report 2022 May – August
GA NADAC Report 2022 September - December
Mail Order Change of Address Form
Mail Order Enrollment Form
Mail Order Online Enrollment
Notice of Privacy Practices
Prefered Product List (Elite Formulary)
Preferred Product List (Access Formulary)
Preferred Product List (Performance Formulary)
Specialty Drug List
Standard PA Form
Step Therapy Guide